02-101112City of 3!edera1 Way
Conm Aity e a Uoplrent Services
33530 1st Way S
Federal Way, WA 98003 -6210
Pb: 253.661.4000 Fax: 253.661.4129
Project Name:
Project Address:
CAMPBELL
0
Building
35807 10TH AVE SW
a
ti
� 4
`7 J
- Single Family Permit #:02 - 101112 - 00 - SF
Inspection request line: 253.835.3050
Parcel Number: 440560 0113
Project Description: SF /ADDITION - Addition of master bedroom, bathroom, & walk -in closet & 4 seasons sunroom;
Plumbing & mechanical included.
Owner
Applicant
Contractor
Lender
John W & Jeanie H Campbell
QUALITY HOME ENCLOSURES
QUALITY HOME ENCLOSURES
NONE
35807 10TH AVE SW
6300 PACIFIC HWY E SUITE D
QUALIHEOOOCP 2/11/03
Type V - One -HR
FEDERAL WAY WA
TACOMA WA 98424
6300 PACIFIC HWY E SUITE D
Occupancy Load:
98023 -7232
1
1 TACOMA WA 98424
NONE
Includes:
Census category: 434 - Reside
#1
#2
#3
#4
Occupancy Group:
R -3
11.5
Mechanical .................................................
Yes
Construction Type:
Type V - One -HR
Plumbtr g ..:::.... .......... ........,
......... Yes
Total Building Sq. Feet ........................................
Occupancy Load:
Total Proposed Sq Feet .. .........
.................429
Zoning Designation.............. ...............................
RS 9.6
Floor Area (Sq. Ft.): -'
1 st Floor Proposed Sq. Feet .....
............................240 >
Census Category .................. ...............................
434 - Residential alt/add - no
Deck Proposed Sq. Feet ...........
............................189
Height of Structure............... ...............................
11.5
Mechanical .................................................
Yes
Occupancy Group # 1 ...........................................
R -3
Plumbtr g ..:::.... .......... ........,
......... Yes
Total Building Sq. Feet ........................................
1904
Total Proposed Sq Feet .. .........
.................429
Zoning Designation.............. ...............................
RS 9.6
Plumbing Fixtures
s rlptl 'ri
QI i
bes ' .t
' t�aantitl
Lavatories —�
1
Showers
1
Sinks
Mechanical Fixtures
„gym Dscrlptrol� „F7,l�jlarl._ ��u i��tC�7 �r tiuW r Qiantt�e tescri `tong
Fans
PERMIT EXPIRES November 5, 2002, IF NO WORK IS STARTED.
Permit issued on May 9, 2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in Vrd c e with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or age l� lVf �- Date:
y
�oErzFlt_
VV FIY
POOHIS CARD ON THE FRONT OF BUILD* L
BUILDING DIVISION ,
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253- 835 -3050
PERMIT #: 02- 101112 -00 -SF
OWNER'S NAME: John W & Jeanie H Campbell
SITE ADDRESS: 3580710TH SW
() FOOTINGS /SETBACKS �' j' �lY - �' //() FOUNDATION WALL
( ) DRAINAGE: Line
() UNDERFLOOR FRAMING_
() ROUGH PLUMBING: DWV
O ROUGH MECHANICAL_
() SHEATHING
() SHEAR WAi LS
() ELECTRICAL ROUGH -1N_
() FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING
( ) INSULATION: Floors
( ) Connection.
Gas piping
Roof Floor
Walls
Ditch Cover
iP
( ) FIRE FINAL
( ) BUILDING FINAL 51 % ✓ 1)
yOf *RECEIVED CONSTRUC&N PERMIT APPLICATION
VV F3Y � 1`'jEi 1 2 2��2 PPLICATION NUMBER: �- -0L2--&V7
PPLICATION NUMBER: - -
CITY OF FEDERAL WAY PPLICATION NUMBER:
BUILDING DEJ3T.
* *
The following is required in ormation — Please print (in ink) or type **
V Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
man W t /--W e- 11.
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): eta 7 YL WT (�
R0 t �L Z 1�,20 1 1J YLAW 07,
TYPE OF PROJECT (This application): DO BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): iS�I�o F%rr'iZ �c`Di7wtH f gATH¢�an # ��t�lc In( C� i
PROJECT NAME:
PROPERTY OWNER: I NAME:
CONTRACTOR:
MAILING
J9AVAN
ADDRESS; CITY, ST
DAYTIME PHONE:
(1b3 ) (o (o I -
NAME:
L'luAw Fmcos
DAYTIME PHONE:
(Zy� ) �1Co
led t7
vlr —we
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
&� IR, iii -l. E �50 I ,
(Z-53 ) 9,�z&
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
__- ______ -__
(%�5)0%,
-Z�o(
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: DAYTIME PHONE:
M D44 ( -753 ) Y`
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( )
E -MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED /APPRAISED VALUATION $
PROPOSED USE:�p1) Tt O �o PROPOSED VALUATION FOR IMPROVEMENTS: $ y'°
SPRINKLERED BUILDING? ❑ YES &/N 0 FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES LINO
WATER SERVICE PROVIDER: VLAKEHAVEN ❑ HIGHLINE C —ETrRW E (WELL)
SEWER SERVICE PROVIDER: N ❑ HIGHLINE PRIVATE
0 r
* *NEW RESIDENTIAL CONSTRUCTION ONLY **
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
- ■ PROJECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
FIRST
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK e,_ , /O a
�l�{
GARAGE
HOW MANY FLOORS?
TOTAL:
�%
v
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate nlimber of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S)
FAN(S)
FIREPLACEINSERT(S)
FURNACE(S)
GAS PIPE OUTLETS) - - -- - - -
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
_ SINK(S)
SUMP(S)
GAS LOG(S) REFP,!G. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINALS)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
MISC. ( )
■ DISCLAIMER /SIGNATURE BLOCK '
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such cla arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information su d to the city a art of this ap 1. cation
DATE: D
)/NAME/TITLE: �, — �l
// ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR 7.
FnR nFFiCF 1Mr- ONLY,
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
rn,iml imTTV nFVFI nPMFNT SFRVICFS - 33530 F1RST WAY Cnl Mi . P n RnX 471 R - FFnFRAI_ WAY. WA 98063 -9718 - 253- 661 -4000 - FAY-